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Organization

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

Active
Other names
Cook Outpatient Services, Legacy Behavioral Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANE B. STEPHENS CPA (CHIEF FINANCIAL OFFICER)
(229) 671-6108
Entity
Organization

Contact information

Practice address
203 INDUSTRIAL PARK DR, ADEL, GA 31620-3446
(229) 896-4559
(229) 896-8367
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000601246A
GA
Enumeration date
11/16/2006
Last updated
09/26/2025
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